From Italy!

I can answer some of your questions based on the US system, sorry unable to answer your questions about the UK system.

Number of rooms in the ER will depend on the number of patients seen per year and the size of the hospital. Most hospitals will have a trauma or code room, plus multiple treatment rooms. There are usually separate rooms used for GYN exams as well as separate rooms used for casting or splinting, when possible.

The "Hello" nurse that you refer to is the traige nurse. At some hospitals the receptionist sees the paitient first, but it should be the nurse that sees every patient first to have them "triaged".

The charge nurse is responsible for scheduling the staff for the day, making assignments as to which area the nurse will cover, etc. She/he is responsible for any problems that occur on that shift.

The manager usually has 24 hour responsibility for the unit.

In most US hospitals the supervisor actually works out the nursing office and not directly out of the ER. It is usually called the "shift supervisor" for the hospital. Depending on the size of the hospital, there may be two or three supervisors, each covering different areas.

Hope that this helps you................................. :balloons:

Most ERs have standing orders that can be done without the patient being first seen by the ER doctor. Usually if it is a suspected fracture of an extremity, the patient can be sent to x-ray. For chest pain, you would apply oxygen, check vital signs, get an EKG, and give NTG if the patient hasn't already takien it at home. If they have, you would want to find out if they had a little "tingle" under their tongue, and how old the pills are.................